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OASIS West London Office Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 4 September 2019

About the service

Oasis Care and Training Agency is a domiciliary care service that provides support and personal care to people living in their own homes. Oasis Care and Training also provide short term support (Reablement) to people who have been discharged from hospital. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

At the time of our inspection the service was supporting 80 people with personal care.

People’s experience of using this service and what we found

Our findings during the inspection and feedback from some of the people showed they did not always receive their visits at the agreed time. People also said the care workers were unreliable and they were not informed about changes in the care workers who supported them. Medicines were not always managed safely.

People were looked after by staff who understood their safeguarding role and responsibilities.

Staff had access to appropriate personal protective equipment (PPE) to help prevent the spread of infection and people told us staff used this.

People's needs were assessed prior to them receiving care and support. The service worked in partnership with other health and social care professionals and these relationships had supported some people to have good health outcomes.

We made a recommendation for the provider to make some improvements so people were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests and for their policies and systems in the service to be reviewed if required to support this practice.

Staff had access to training which was appropriate to their role. The provider had systems for handling complaints and responding to incidents. The provider did not always record end of life wishes however care workers had supported people who were reaching the end of their life appropriately.

Relatives told us that people were treated with dignity and respect. They were also positive about the staff and they told us that staff had a caring attitude.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection This service was registered with us on 7 June 2018 and this is the first inspection.

Why we inspected:

We inspect newly registered services within one year of them starting to provide a regulated activity.

Enforcement:

We identified two breaches of regulations in relation to safe care and treatment and good governance. You can see what action we told the provider to take at the back of the full version of the report.

Follow up:

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme and to check that improvements have been made. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 4 September 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 4 September 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 4 September 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 4 September 2019

The service was not always responsive.

Details are in our responsive findings below

Well-led

Requires improvement

Updated 4 September 2019

The service was not always well-led.

Details are in our well-Led findings below